Sarah Chaput1, Geneviève Mercille2, Louis Drouin3, Yan Kestens1. 1. 1Université de Montréal,Département de médecine sociale et préventive,7101 Avenue du Parc,Montréal,QC H3N 1X9,Canada. 2. 3Université de Montréal,Département de nutrition,2450 Chemin de la Côte-Sainte-Catherine,Montréal,QC H3T 1A8,Canada. 3. 4Montreal Health and Social Services Agency,Public Health Department,Montréal,Québec,Canada.
Abstract
OBJECTIVE: Alternative food sources (AFS) such as local markets in disadvantaged areas are promising strategies for preventing chronic disease and reducing health inequalities. The present study assessed how sociodemographic characteristics, physical access and fruit and vegetable (F&V) consumption are associated with market use in a newly opened F&V market next to a subway station in a disadvantaged neighbourhood. DESIGN: Two cross-sectional surveys were conducted among adults: (i) on-site, among shoppers who had just bought F&V and (ii) a telephone-based population survey among residents living within 1 km distance from the market. SETTING: One neighbourhood in Montreal (Canada) with previously limited F&V offerings. SUBJECTS: Respectively, 218 shoppers and 335 residents completed the on-site and telephone-based population surveys. RESULTS: Among shoppers, 23 % were low-income, 56 % did not consume enough F&V and 54 % did not have access to a car. Among all participants living 1 km from the market (n 472), market usage was associated (OR; 95 % CI) with adequate F&V consumption (1·86; 1·10, 3·16), living closer to the market (for distance: 0·86; 0·76, 0·97), having the market on the commute route (2·77; 1·61, 4·75) and not having access to a car (2·96; 1·67, 5·26). CONCLUSIONS: When implemented in strategic locations such as transport hubs, AFS like F&V markets offer a promising strategy to improve F&V access among populations that may be constrained in their food acquisition practices, including low-income populations and those relying on public transportation.
OBJECTIVE: Alternative food sources (AFS) such as local markets in disadvantaged areas are promising strategies for preventing chronic disease and reducing health inequalities. The present study assessed how sociodemographic characteristics, physical access and fruit and vegetable (F&V) consumption are associated with market use in a newly opened F&V market next to a subway station in a disadvantaged neighbourhood. DESIGN: Two cross-sectional surveys were conducted among adults: (i) on-site, among shoppers who had just bought F&V and (ii) a telephone-based population survey among residents living within 1 km distance from the market. SETTING: One neighbourhood in Montreal (Canada) with previously limited F&V offerings. SUBJECTS: Respectively, 218 shoppers and 335 residents completed the on-site and telephone-based population surveys. RESULTS: Among shoppers, 23 % were low-income, 56 % did not consume enough F&V and 54 % did not have access to a car. Among all participants living 1 km from the market (n 472), market usage was associated (OR; 95 % CI) with adequate F&V consumption (1·86; 1·10, 3·16), living closer to the market (for distance: 0·86; 0·76, 0·97), having the market on the commute route (2·77; 1·61, 4·75) and not having access to a car (2·96; 1·67, 5·26). CONCLUSIONS: When implemented in strategic locations such as transport hubs, AFS like F&V markets offer a promising strategy to improve F&V access among populations that may be constrained in their food acquisition practices, including low-income populations and those relying on public transportation.
Entities:
Keywords:
Farmers’ markets; Food environment; Fruits and vegetables; Health inequalities; Local food systems
Authors: Pauline Rebouillat; Sarah Bonin; Yan Kestens; Sarah Chaput; Louis Drouin; Geneviève Mercille Journal: Int J Environ Res Public Health Date: 2019-12-21 Impact factor: 3.390